Mortality in severely injured elderly trauma patients - When does age become a risk factor?

被引：164
作者：
Kuhne, CA
Ruchholtz, S
Kaiser, GM
Nast-Kolb, D
机构：
[1] Univ Hosp, Dept Trauma Surg, Essen, Germany
[2] Univ Hosp, Dept Gen Surg & Transplantat, Essen, Germany
来源：
WORLD JOURNAL OF SURGERY | 2005年 / 29卷 / 11期
关键词：
D O I：
10.1007/s00268-005-7796-y
中图分类号：
R61 [外科手术学];
学科分类号：
摘要：
Age is a well-known risk factor in trauma patients. The aim of the present study was to define the age-dependent cut-off for increasing mortality in multiple injured patients. Pre-existing medical conditions in older age and impaired age-dependent physiologic reserve contributing to a worse outcome in multiple injured elderly patients are discussed as reasons for increased mortality. A retrospective clinical study of a statewide trauma data set from 1993 through 2000 included 5375 patients with an Injury Severity Score (ISS) >= 16 who were stratified by age. The ISS and Abbreviated Injury Score (AIS) quantified the injury severity. Outcome measures were mortality.
引用
收藏
页码：1476 / 1482
页数：7
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